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General NPI Number Information
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NPI Number | 1558966069
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Entity Type | Organization
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Legal Business Name | LOYALTY HEALTH SERVICES
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 1982 SE CRYSTAL MIST ST
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-4608
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Country | US
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Telephone | 772-237-1652
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Fax |
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Provider Business Mailing Address
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Address Line | 1982 SE CRYSTAL MIST ST
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-4608
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASMINE NOEL
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Credential | REGISTERED NURSE
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Telephone | 772-237-1652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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